<!DOCTYPE html>
<html>
<head>
<meta charset="ISO-8859-1">
<title>Insert title here</title>
<style type="text/css">
#head {
    background-color: white;
    
    height: 500px;
    left: 283px;					
    position: absolute;
    top: 100px;
    width: 762px;
}
 #subhead {
    background-color: #9B9999;
    
    height: 41px;
    left: -1px;
    position: absolute;
    top: 15px;
    width: 177px;
}
#subheadfold {
    
    height: 39px;
    left: -1px;
    position: absolute;
    top: -14px;
    width: 177px;
}
#subhead1 {
    background-color: #9B9999;
 
    height: 41px;
    left: 182px;
    position: absolute;
    top: 15px;
    width: 177px;
}
#subheadfold1 {
    
    height: 38px;
    left: -1px;
    position: absolute;
    top: -14px;
    width: 177px;
}
#subhead2 {
    background-color: #9B9999;
   
    height: 41px;
    left: 365px;
    position: absolute;
    top: 15px;
    width: 177px;
}
#subheadfold2 {
    
    height: 38px;
    left: -1px;
    position: absolute;
    top: -14px;
    width: 177px;
}
#subhead3 {
    background-color: #9B9999;
   
    height: 41px;
    left: 548px;
    position: absolute;
    top: 15px;
    width: 177px;
}
#subheadfold3 {
    
    height: 38px;
    left: -1px;
    position: absolute;
    top: -14px;
    width: 177px;
}
#bodyDiv {
    background-color: #E5E5E5;
    
    height: 34px;
    left: 0px;
    position: absolute;
    top: 55px;
    width: 762px;
}
#subbodyDiv {
    
    height: 38px;
    left: -1px;
    position: absolute;
    top: -14px;
    width: 177px;
}
#bodyDiv1 {
    background-color: #E5E5E5;
 
    height: 34px;
    left: -1px;
    position: absolute;
    top: 55px;
    width: 762px;
}

#subbodyDiv1 {
   
    height: 22px;
    left: 177px;
    position: absolute;
    top: 6px;
    width: 184px;
}
#sub1bodyDiv1 {
    
    height: 35px;
    left: 2px;
    position: absolute;
    top: -14px;
    width: 149px;
}
#bodyDiv2 {
    background-color: #E5E5E5;
    
    height: 70px;
    left: -1px;
    position: absolute;
    top: 90px;
    width: 763px;
}
#subbodyDiv2 {
    
    height: 53px;
    left: 176px;
    position: absolute;
    top: 10px;
    width: 183px;
}
#subbodyDiv3 {
    
    height: 62px;
    left: 2px;
    position: absolute;
    top: 3px;
    width: 149px;
}
#subbodyDiv4 {
   
    height: 62px;
    left: 380px;
    position: absolute;
    top: 3px;
    width: 149px;
}
#subbodyDiv5 {
    height: 62px;
    left: 560px;
    position: absolute;
    top: 21px;
    width: 149px;
}
#city {
    background-color: #E5E5E5;
   
    height: 35px;
    left: 0px;
    position: absolute;
    top: 161px;
    width: 762px;
}
#subcity {
    height: 35px;
    left: 2px;
    position: absolute;
    top: -14px;
    width: 149px;
}
#subcity1 {
 height: 22px;
    left: 177px;
    position: absolute;
    top: 6px;
    width: 184px;
}
#subcity2{
    border: 1px solod red;
    height: 62px;
    left: 380px;
    position: absolute;
    top: -12px;
    width: 149px;
    }
#subcity3 {
    height: 62px;
    left: 560px;
    position: absolute;
    top: 7px;
    width: 200px;
}    
#postaldiv {
    background-color: #E5E5E5;
    
    height: 34px;
    left: 0px;
    position: absolute;
    top: 197px;
    width: 762px;
}

#subpostaldiv {
   
    height: 22px;
    left: 177px;
    position: absolute;
    top: 6px;
    width: 184px;
}
#subpostaldiv1 {
    
    height: 35px;
    left: 2px;
    position: absolute;
    top: -14px;
    width: 149px;
}
#corresponddiv {
    background-color: #E5E5E5;
    
    height: 70px;
    left: -1px;
    position: absolute;
    top: 232px;
    width: 763px;
}
#subcorresponddiv1 {
    
    height: 53px;
    left: 176px;
    position: absolute;
    top: 10px;
    width: 183px;
}
#subcorresponddiv2 {
    
    height: 62px;
    left: 2px;
    position: absolute;
    top: 3px;
    width: 149px;
}
#subcorresponddiv3 {
   
    height: 62px;
    left: 380px;
    position: absolute;
    top: 3px;
    width: 149px;
}
#subcorresponddiv4 {
    height: 62px;
    left: 560px;
    position: absolute;
    top: 21px;
    width: 149px;
}
#city1 {
    background-color: #E5E5E5;
   
    height: 35px;
    left: 0px;
    position: absolute;
    top: 303px;
    width: 762px;
}
#sub1city {
    height: 35px;
    left: 2px;
    position: absolute;
    top: -14px;
    width: 149px;
}
#sub1city1 {
 height: 22px;
    left: 177px;
    position: absolute;
    top: 6px;
    width: 184px;
}
#sub1city2{
    border: 1px solod red;
    height: 62px;
    left: 380px;
    position: absolute;
    top: -12px;
    width: 149px;
    }
#sub1city3 {
    height: 62px;
    left: 560px;
    position: absolute;
    top: 7px;
    width: 200px;
}
#postaldiv1 {
    background-color: #E5E5E5;
    
    height: 34px;
    left: 0px;
    position: absolute;
    top: 339px;
    width: 762px;
}

#sub1postaldiv {
   
    height: 22px;
    left: 177px;
    position: absolute;
    top: 6px;
    width: 184px;
}
#sub1postaldiv1 {
    
    height: 35px;
    left: 2px;
    position: absolute;
    top: -14px;
    width: 149px;
}
#webdiv {
    background-color: #E5E5E5;
    
    height: 34px;
    left: 0px;
    position: absolute;
    top: 374px;
    width: 762px;
}

#subwebdiv {
   
    height: 22px;
    left: 177px;
    position: absolute;
    top: 6px;
    width: 184px;
}
#subwebdiv1 {
    
    height: 35px;
    left: 2px;
    position: absolute;
    top: -14px;
    width: 149px;
}
#sub1webdiv{
   
    height: 22px;
    left: 561px;
    position: absolute;
    top: 6px;
    width: 184px;
}
#sub1webdiv1 {
    
    height: 35px;
    left: 379px;
    position: absolute;
    top: -14px;
    width: 149px;
}    

</style>
</head>
<body background="#EEF3FA">
  <div id="head">
        <div id="subhead">
              
              <div id="subheadfold">
                  <h4 align="center">Company Information</h4> 
              </div>
        </div>
        <div id="subhead1">
             
              <div id="subheadfold1">
                <h4 align="center">CEO/Proprietor Details</h4> 
              </div>
        </div>
        <div id="subhead2">
             
              <div id="subheadfold2">
                <h4 align="center">Area of Expertise</h4> 
              </div>
        </div>
        <div id="subhead3">
             
              <div id="subheadfold3">
                <h4 align="center">IT Related Information</h4>
              </div>
        </div>
        <div id="bodyDiv">
             
              <div id="subbodyDiv">
                <h4 align="center">Company Information</h4>
              </div>
        </div>
        <div id="bodyDiv1">
             
              <div id="subbodyDiv1">
              <input type="text" size="27">
              </div>
              
              <div id="sub1bodyDiv1">
              <h5 align="left">*Company Name:</h5>
              </div>
        </div>
        <div id="bodyDiv2">
        
               <div id="subbodyDiv2">
                 <textarea></textarea>
               </div>
              
               <div id="subbodyDiv3">
                 <h5>*Head Office Address:</h5>
               </div>
               
               <div id="subbodyDiv4">
                 <h5>*Country:</h5>
               </div>
               
               <div id="subbodyDiv5">India
               </div>
               
         </div>
         <div id="city">
             <div id="subcity">
              <h5 align="left">*City:</h5>
             </div> 
             
             <div id="subcity1">
              <input type="text" size="27">
             </div>
             
             <div id="subcity2">
                 <h5>*State:</h5>
              </div>
              
              <div id="subcity3">
                 <select>
                  <option>Select State</option>
                  <option>India</option>
                  <option>Uk</option>
                  <option>China</option>
                  <option>SouthAfrica</option>
                  <option>WestIndies</option>
                  <option>Sri lanka</option>
                  <option>Bangladesh</option>
                  <option>Pakisthan</option>
                  </select>
              </div>
           </div>  
             
           <div id="postaldiv">
             
              <div id="subpostaldiv">
              <input type="text" size="27">
              </div>
              
              <div id="subpostaldiv1">
              <h5 align="left">*Postal Code:</h5>
              </div>
        
          </div>
          
          <div id="corresponddiv">
        
               <div id="subcorresponddiv1">
                 <textarea></textarea>
               </div>
              
               <div id="subcorresponddiv2">
                 <h5>*Correspondence Address:</h5>
               </div>
               
               <div id="subcorresponddiv3">
                 <h5>*Country:</h5>
               </div>
               
               <div id="subcorresponddiv4">India
               </div>
               
         </div>
         <div id="city1">
             <div id="sub1city">
              <h5 align="left">*City:</h5>
             </div> 
             
             <div id="sub1city1">
              <input type="text" size="27">
             </div>
             
             <div id="sub1city2">
                 <h5>*State:</h5>
              </div>
              
              <div id="sub1city3">
                 <select>
                  <option>Select State</option>
                  <option>India</option>
                  <option>Uk</option>
                  <option>China</option>
                  <option>SouthAfrica</option>
                  <option>WestIndies</option>
                  <option>Sri lanka</option>
                  <option>Bangladesh</option>
                  <option>Pakisthan</option>
                  </select>
              </div>
           </div>  
           
           <div id="postaldiv1">
             
              <div id="sub1postaldiv">
              <input type="text" size="27">
              </div>
              
              <div id="sub1postaldiv1">
              <h5 align="left">*Postal Code:</h5>
              </div>
        
          </div>
          
          <div id="webdiv">
             
              <div id="subwebdiv">
              <input type="text" size="27">
              </div>
              
              <div id="subwebdiv1">
              <h5 align="left">*Website:</h5>
              </div>
              
              <div id="sub1webdiv">
              <input type="text" size="27">
              </div>
              
              <div id="sub1webdiv1">
              <h5 align="left">*Email Address:</h5>
              </div>
        
          </div>
         
        
  </div>

</body>
</html>